HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2392208/01/2005 MON 14:22 FAX 970 221 6586 CITY OF FT COLLINS CLRS Q001/001
CHANGE ORDER NO.1
PROJECT TITLES City Park Intersection Moss Rock
CONTRACTOR: Campana Construction Corp.
PROJECT NUMBER: P.O. 5503361
DESCRIPTION: Actual quantities and items
1. Reason for change: Deduct for clean-up, done by others.
2. Description;
a. Less work, credit-$142.00
3. Change in Contract Cost: minus
4. Change in Contract Time: n/a
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDER
TOTAL PENDING CHANGE ORDER
TOTAL THIS CHANGE ORDER
TOTAL & OF THIS CHANGE ORDER -1t
TOTAL C.O. OF ORIGNINAL CONTRACT -196
ADJUSTED CONTRACT COST
(Assuming all change orders_ approved)
ACCEPTED B
C ntr or epkesentative
ACCEPTED BY:
REVIEWED BY:
APPROVED BY:
Project' Manager
Title:
Title:
$142 . 00
11,130.00
0
0
-142.00
$10,988.00
DATE: 771�-
DATE : %f �v S
Wt44V
DATE:
APPROVED BY: DATE:
Purchasing Agent over $30,000
ti
CC., Architect Contractor Engineer
Project File Purchasing